Instructor Info Form OUS - O'Flaherty Irish Music Retreat

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Teaching Traditional Irish Music

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Outside U.S. Instructor Info Form

This form is for instructors of the O’Flaherty Irish Music Retreat who will be travelling to the U.S. from other countries. The information gathered will help us manage matters like your travel, your dietary needs, guests who will accompany you and, if required, adding you to our group P-3 visa application. Thanks for your cooperation in completing this form at your earliest convenience!

Please enter your name as it appears or will appear on your Visa.*
First Last
Name you want published on website and for marketing.
First Last
Current Passport Number (if valid during retreat)
Date of Birth (needed for Visa and/or booking travel)*
Month
Day
Year
Email*
Website (if any)
Cell Phone*
Home Phone
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Will you be travelling from outside the U.S.?*
- Yes, and I will already have a Visa that allows me to enter and work in the U.S..
- Yes, and I will need to be added to your P-3 Group Visa, and I’ve NEVER been included in a P-3 before.
- Yes, and I will need to be added to your group P-3 Group Visa, and I HAVE been included in P-3(s) before.
- No, I will be in the U.S. already but will need air travel.
- No, I will be in the U.S. already and will drive to the retreat.
What will be the probable city/airport from which you will be flying?*
If you WILL need to be added to our P-3 Group Visa, please list all previous P-3 or J-1 Visas by date and receipt number for the past seven years and all other names used (include aliases, maiden names, and names from previous marriages) that you have traveled under: (if none, enter "none")*
Country of Birth*
Country of Citizenship*
Emergency Name*
First Last
Emergency Phone*
Do you have any food allergies or dietary requirements?*
- None
- Yes
If YES, please describe:*
Will you be accompanied by a spouse, loved one, friend, guest?*
- No
- Yes
- I don’t know yet
If YES, please provide the name(s):*
If YES, will they be attending as a student(s) or non-student(s)?*
- Student(s)
- Non-Student(S)
PLEASE NOTE: Costs for tuition, travel, lodging and meals of any accompanying guests will be borne by the guests or instructor. Relatives of instructors will receive 50% off their tuition.
Would you like a complimentary Retreat T-Shirt?*
- No T-Shirt
- Yes T-Shirt
What size t-shirt would you like?*
Comments:
Regarding instructional aids, audio visual equipment and other items that you will need for your core classes and/or enrichment classes, we will send you a link to an online form prior to the retreat for you to register those needs.
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Testimonials

Former Student

I look forward to this retreat now every year. It keeps growing and getting better! Items that were on my wish list were added this year and that shows me that you guys really do want this to be something long lasting and special.

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